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1710475751
SHANNON EVELYN BLANKS
AUGUSTA, GA
NPI
1710475751
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103K00000X Behavior Analyst
(Licence: 1-18-30037)
Enumeration Date
2018-04-25
Last Update Date
2019-09-30
Business Address
SHANNON EVELYN BLANKS M.S.Ed., BCBA
1237 AUGUSTA WEST PKWY
AUGUSTA, GA 30909-1807
Phone number: 762-685-4340
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Mailing Address
SHANNON EVELYN BLANKS M.S.Ed., BCBA
300 INTERNATIONAL PKWY STE 200
LAKE MARY, FL 32746-5028
Phone number: 407-915-7258
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